<div class="page-bar">
	<ul class="page-breadcrumb">
		<li><span>商户子系统</span> <i class="fa fa-angle-right"></i></li>
		<li><span>商户入驻</span></li>
	</ul>
</div>
<div class="content" id="merchant_enter_content">
	<div class="page_form row">
		<div class="col-sm-12">
			<form class="form-horizontal" id="merchant_enter_form">
			
				<!-- 1 商户主体信息 -->
				<div class="row form_split_title">
					<h4 class="col-sm-12"><font color="#e7505a">▎</font> <b>商户主体信息</b> </h4>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>商户类型:</label>
						<div class="col-sm-5">
							<div>
								<label class="radio-inline"><input checked="checked" name="type" type="radio" value="1"/>小微商户</label>
								<label class="radio-inline"><input name="type" type="radio" value="2"/>个体工商户</label>
								<label class="radio-inline"><input name="type" type="radio" value="3"/>企事业</label>
							</div>
						</div>
					</div>
					
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>商户分类:</label>
						<div class="col-sm-5">
							<div>
								<label class="radio-inline"><input checked="checked" name="category" type="radio" value="1"/>线上/线下</label>
								<label class="radio-inline"><input name="category" type="radio" value="2"/>线上</label>
								<label class="radio-inline"><input name="category" type="radio" value="3"/>线下</label>
							</div>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>商户名称:</label>
						<div class="col-sm-5">
							<input type="text" name="name" class="form-control input-sm" placeholder="商户名称"></input>
						</div>
					</div>
					
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>招牌名称:</label>
						<div class="col-sm-5">
							<input type="text" name="brandName" class="form-control input-sm" placeholder="招牌名称"></input>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>所在地址:</label>
						<div class="col-sm-8 form-inline">
							<div>
								<select id="merchant_enter_province_id" name="provinceId" class="form-control input-sm select_region"></select>
								<select id="merchant_enter_city_id" name="cityId" class="form-control input-sm select_region"></select>
								<select id="merchant_enter_district_id" name="districtId" class="form-control input-sm select_region"></select>
							</div>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>详细地址:</label>
						<div class="col-sm-5">
							<input type="text" name="address" class="form-control input-sm" placeholder="详细地址"></input>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>联系电话:</label>
						<div class="col-sm-5">
							<input type="text" name="telephone" class="form-control input-sm" placeholder="联系电话"></input>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>联系邮箱:</label>
						<div class="col-sm-5">
							<input type="text" name="email" class="form-control input-sm" placeholder="联系邮箱"></input>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>营业时间:</label>
						<div class="col-sm-5">
							<input type="text" name="serviceTime" class="form-control input-sm" placeholder="营业时间"></input>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>商户备注:</label>
						<div class="col-sm-5">
							<textarea type="text" name="remark" class="form-control input-sm" placeholder="商户备注" style="resize:vertical"></textarea>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>所属行业:</label>
						<div class="col-sm-8 form-inline">
							<div>
								<select type="text" name="industryLevel1" class="form-control input-sm select_region" placeholder="主分类"></select>
								<select type="text" name="industryLevel2" class="form-control input-sm select_region" placeholder="二级分类"></select>
							</div>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>营业执照类型:</label>
						<div class="col-sm-5">
							<div>
								<label class="radio-inline"><input checked="checked" name="businessLicenseType" type="radio" value="1"/>三证合一</label>
								<label class="radio-inline"><input name="businessLicenseType" type="radio" value="2"/>非三证合一</label>
							</div>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>营业执照号码:</label>
						<div class="col-sm-6">
							<div class="input-group input-group-sm">
                                <input type="text" class="form-control" name="businessLicenseNo" placeholder="营业执照号码">
                                <span class="input-group-addon">在线核查</span>
                            </div>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>营业执照有效期:</label>
						
						<div class="col-sm-8 form-inline">
							<div>
								<input class="form-control input-sm" id="merchant_enter_business_license_no_start_time" name="businessLicenseNoStartTime" placeholder="生效时间" readonly="" type="text">
								&nbsp;-&nbsp;
								<input class="form-control input-sm" id="merchant_enter_business_license_no_end_time" name="businessLicenseNoEndTime" placeholder="过期时间" readonly="" type="text">
							</div>
						</div>
					</div>
				</div>
				
				<div class="row" style="display:block">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>税务登记号:</label>
						<div class="col-sm-5">
							<input type="text" name="taxNo" class="form-control input-sm" placeholder="税务登记号"></input>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>税务登记有效期:</label>
						<div class="col-sm-8 form-inline">
							<div>
								<input class="form-control input-sm" id="merchant_enter_tax_no_start_time" name="taxNoStartTime" placeholder="生效时间" readonly="" type="text">
								&nbsp;-&nbsp;
								<input class="form-control input-sm" id="merchant_enter_tax_no_end_time" name="taxNoEndTime" placeholder="过期时间" readonly="" type="text">
							</div>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>组织机构代码:</label>
						<div class="col-sm-5">
							<input type="text" name="orgNo" class="form-control input-sm" placeholder="组织机构代码"></input>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>组织机构有效期:</label>
						<div class="col-sm-8 form-inline">
							<div>
								<input class="form-control input-sm" id="merchant_enter_org_no_start_time" name="orgNoStartTime" placeholder="生效时间" readonly="" type="text">
								&nbsp;-&nbsp;
								<input class="form-control input-sm" id="merchant_enter_org_no_end_time" name="orgNoEndTime" placeholder="过期时间" readonly="" type="text">
							</div>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>状态:</label>
						<div class="col-sm-5">
							<div>
								<label class="radio-inline"><input checked="checked" name="status" type="radio" value="1"/>启用</label>
								<label class="radio-inline"><input name="status" type="radio" value="0"/>禁用</label>
							</div>
						</div>
					</div>
				</div>
				
				<!-- 2 法人信息 -->
				<hr class="col-sm-12" />
				<div class="row form_split_title">
					<h4 class="col-sm-12"><font color="#e7505a">▎</font> <b>法人信息</b> </h4>
				</div>

				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>公司法人:</label>
						<div class="col-sm-5">
							<input type="text" name="legalPersonName" class="form-control input-sm" placeholder="公司法人"></input>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>法人性别:</label>
						<div class="col-sm-5">
							<div>
								<label class="radio-inline"><input checked="checked" name="legalPersonSex" type="radio" value="1"/>男</label>
								<label class="radio-inline"><input name="legalPersonSex" type="radio" value="2"/>女</label>
							</div>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>证件国别/地区:</label>
						<div class="col-sm-5">
							<select id="merchant_enter_certification_region" name="legalPersonCertificationRegion" class="form-control input-sm">
								<option value="1">中国</option>
								<option value="2">中国香港</option>
								<option value="3">中国台湾</option>
								<option value="4">中国澳门</option>
							</select>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>证件类型:</label>
						<div class="col-sm-5">
							<select id="merchant_enter_certification_type" name="legalPersonCertificationType" class="form-control input-sm">
								<option value="1">居民身份证</option>
								<option value="2">临时居民身份证</option>
								<option value="3">居民户口簿</option>
								<option value="4">护照</option>
								<option value="5">港澳居民来往内地通行证</option>
								<option value="6">回乡证</option>
								<option value="7">军人证</option>
								<option value="8">军人证</option>
								<option value="9">武警身份证</option>
								<option value="10">其他法定文件</option>
							</select>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>法人证件号码:</label>
						<div class="col-sm-6">
							<div class="input-group input-group-sm">
                                <input type="text" class="form-control" name="legalPersonIDCardNo" placeholder="法人证件号码">
                                <span class="input-group-addon">重号验证</span>
                            </div>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>法人证件有效期:</label>
						
						<div class="col-sm-8 form-inline">
							<div>
								<input class="form-control input-sm" id="merchant_enter_legal_person_id_card_no_start_time" name="legalPersonIDCardNoStartTime" placeholder="生效时间" readonly="" type="text">
								&nbsp;-&nbsp;
								<input class="form-control input-sm" id="merchant_enter_legal_person_id_card_no_end_time" name="legalPersonIDCardNoEndTime" placeholder="过期时间" readonly="" type="text">
							</div>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>法人手机:</label>
						<div class="col-sm-5">
							<input type="text" name="legalPersonMobile" class="form-control input-sm" placeholder="法人手机"></input>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>法人邮箱:</label>
						<div class="col-sm-5">
							<input type="text" name="legalPersonEmail" class="form-control input-sm" placeholder="法人邮箱"></input>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>法人职业:</label>
						<div class="col-sm-5">
							<select id="merchant_enter_legal_person_job" name="legalPersonJob" class="form-control input-sm"></select>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>法人住址:</label>
						<div class="col-sm-5">
							<input type="text" name="legalPersonAddress" class="form-control input-sm" placeholder="法人住址"></input>
						</div>
					</div>
				</div>
				
				<!-- 3 结算账户信息 -->
				<hr class="col-sm-12" />
				<div class="row form_split_title">
					<h4 class="col-sm-12"><font color="#e7505a">▎</font> <b>结算账户信息</b> </h4>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>结算账户类型:</label>
						<div class="col-sm-5">
							<div>
								<label class="radio-inline"><input checked="checked" name="accountType" type="radio" value="1"/>对私</label>
								<label class="radio-inline"><input name="accountType" type="radio" value="2"/>对公</label>
							</div>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>账户人身份:</label>
						<div class="col-sm-5">
							<div>
								<label class="radio-inline"><input checked="checked" name="accountBoss" type="radio" value="1"/>法人</label>
								<label class="radio-inline"><input name="accountBoss" type="radio" value="2"/>法人亲属</label>
							</div>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>开户行:</label>
						<div class="col-sm-5">
							<input type="text" name="accountBankName" class="form-control input-sm" placeholder="开户行"></input>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>开户名:</label>
						<div class="col-sm-5">
							<input type="text" name="accountName" class="form-control input-sm" placeholder="开户名"></input>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>收款账号:</label>
						<div class="col-sm-5">
							<input type="text" name="accountNo" class="form-control input-sm" placeholder="收款账号"></input>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>清算联行号:</label>
						<div class="col-sm-6">
							<div class="input-group input-group-sm">
                                <input type="text" class="form-control" name="accountCleanBankNo" placeholder="清算联行号">
                                <span class="input-group-addon">查找清算联行号</span>
                            </div>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>收款联系人手机:</label>
						<div class="col-sm-5">
							<input type="text" name="accountMobile" class="form-control input-sm" placeholder="收款联系人手机"></input>
						</div>
					</div>
				</div>
				
				<!-- 4 联系人信息 -->
				<hr class="col-sm-12" />
				<div class="row form_split_title">
					<h4 class="col-sm-12"><font color="#e7505a">▎</font> <b>联系人信息</b> </h4>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>联系人姓名:</label>
						<div class="col-sm-5">
							<input type="text" name="linkmanName" class="form-control input-sm" placeholder="联系人姓名"></input>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>联系人手机:</label>
						<div class="col-sm-5">
							<input type="text" name="linkmanMobile" class="form-control input-sm" placeholder="联系人手机"></input>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>联系人邮箱:</label>
						<div class="col-sm-5">
							<input type="text" name="linkmanEmail" class="form-control input-sm" placeholder="联系人邮箱"></input>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>联系人QQ:</label>
						<div class="col-sm-5">
							<input type="text" name="linkmanQQ" class="form-control input-sm" placeholder="联系人QQ"></input>
						</div>
					</div>
				</div>
				
				<!-- 5 资料上传 -->
				<hr class="col-sm-12" />
				<div class="row form_split_title" style="margin-bottom:20px;">
					<h4 class="col-sm-12"><font color="#e7505a">▎</font> <b>资料上传</b><span style="font-size:13px;color:#999999;margin-left:20px;">( 扫描件需法人签字并加盖公章 )</span></h4>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>营业执照:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_licence_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>开户许可证:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_opening_permit_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，例如：食品经营许可证、餐饮服务许可证、烟草专卖许可证、文化经营许可证、娱乐场所许可证、医疗机构执业许可证、酒类销售许可证等等证件，创建支付方式验证商户资质时需要。</span>
						</div>
					</div>
				</div>
				
				<div class="row">
					<!-- http://www.cnblogs.com/leechenxiang/p/6603884.html -->
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>身份证正面:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_id_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>身份证反面:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_id_reverse_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>税务登记证:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_tax_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i>*</i>组织机构代码证:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_org_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>授权文件:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_authorize_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>商户logo:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_logo_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>其它资料1:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_other1_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>其它资料2:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_other2_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
				</div>
				
				<div class="row">
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>其它资料3:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_other3_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
					<div class="form-group col-sm-6">
						<label class="col-sm-4 control-label"><i></i>其它资料4:</label>
						<div class="col-sm-6">
							<div id="merchant_enter_other4_img" init_value></div>
							<span class="form_tips">提示：文件大小不得超过2M，支持jpg、pdf、zip、doc、xls等文件格式，某些文件不支持预览</span>
						</div>
					</div>
				</div>
				
				<hr class="col-sm-12" />
				<div class="row">
					<div class="form-group col-sm-12">
						<div class="form-group" style="margin: 5px;">
							<div class="col-sm-12 text-right">
								<button type="button" class="btn btn-success btn-sm" style="margin-right:10px;" onclick="merchant_enter_add_merchant();">保存</button>
								<button type="button" class="btn btn-success btn-sm" onclick="merchant_enter_add_next_merchant();">保存并继续商户入驻</button>
							</div>
						</div>
					</div>
				</div>
			</form>
		</div>
	</div>
</div>
<script type="text/javascript">
	require(["./static/pages/scripts/merchant/enter"], function(enter){
		enter.initPage();
	});
</script>
</html>